person
Mr. Joseph T Miccoli, RPA-C
Medical Physician Assistant in Lawrence, New York
NPI 1598997488

Joseph T Miccoli is a Medical Physician Assistant based in Lawrence, NY and is specialized in Medical. Joseph T Miccoli practices in Lawrence, NY and has the professional credentials of RPA-C. The NPI Number for Joseph T Miccoli is 1598997488 and holds a License No. 013446 (New York).

The current practice location address for Joseph T Miccoli is 215 Rockaway Tpke, Lawrence, NY and can be reached out via phone at 516-374-5024 and via fax at 516-374-5816.

Location: 215 Rockaway Tpke, Lawrence, NY, 11559-1216
person
Provider Profile Details
NPI Number
1598997488
Provider Name
Joseph T Miccoli
Credential
RPA-C
Provider Entity Type
Individual
Gender
Male
Address
215 Rockaway Tpke, Lawrence, NY, 11559-1216
Phone Number
516-374-5024
Fax Number
516-374-5816
Provider Enumeration Date
08/11/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
215 Rockaway Tpke
City
State
Zip
11559-1216
Phone Number
516-374-5024
Fax Number
516-374-5816
person
Provider Business Mailing Address Details
Address
215 Rockaway Tpke
City
State
Zip
11559-1216
Phone Number
516-374-5024
Fax Number
516-374-5816
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Medical
Taxonomy
License No.
013446 (New York)
Definition
Definition to come...
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